S41.052A — Open bite of left shoulder, initial encounter

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.

MS-DRG 604 — TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC (MDC 09)
MS-DRG 605 — TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC (MDC 09)
MS-DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)
MS-DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)
MS-DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Open bite of left shoulder, initial encounter is a billable ICD-10-CM diagnosis code (S41.052A).

Sequencing, inclusion, and exclusion notes published for S41.052A in the official ICD-10-CM tabular list.

Conditions the official ICD-10-CM tabular list includes under this code.

Conditions that can never be reported with this code; the two are mutually exclusive.

Conditions not covered by this code, but which may be reported alongside it when both are present.

open fracture of shoulder and upper arm (S42.- with 7th character B or C)
burns and corrosions (T20-T32)
frostbite (T33-T34)
injuries of elbow (S50-S59)
insect bite or sting, venomous (T63.4)

Additional codes that may be required to fully describe the encounter.

Yes. The appropriate 7th character is to be added to each code from category S41.

Official ICD-10-CM classifications closest to S41.052A in its code family, with their registry titles.